Rollout of an informational campaign on patient safety, infection prevention, and patient rights.

In addition, the hospital has hired Mercer Consulting to revamp its human resources department, including a redesign of policies and procedures on performance management and progressive discipline. Additional outside consultants may be hired to help in case management, women's and infant's specialty health (WISH), and board governance.

According the report, problems persist in Parkland's efforts to "stabilize and transform psychiatric care." Deficiencies in this area set in motion a series of CMS surveys and immediate jeopardy rulings that led to Parkland and CMS signing in September 2011 a very rare SIA. Only one other hospital, Cape Fear Medical Center in Fayetteville, NC, currently operates under an SIA.